The Effects of Accompaniment on Maternal Anxiety During Elective Cesarean Delivery: A Quasi-experimental Study.
Background: In Spain, allowing women to be accompanied by their partners during cesarean deliveries is a poorly consolidated practice. Going through this experience alone, not only deprives women from the opportunity of sharing the birth with their partners, but also, forces them to face, on their o...
| Published in: | Maternal & Child Health Journal Vol. 27; no. 8; pp. 1352 - 1361 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Aug2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164356560&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164356560 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Aug2023 vid: 27 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 164356560 163901697 164356560 164356560 10.1007/s10995-023-03677-6 164356560 ppf: 1352 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Effects of Accompaniment on Maternal Anxiety During Elective Cesarean Delivery: A Quasi-experimental Study. aug: au: Gutiérrez, Noemí Obregón Cobo, Jesus Calsina, Salut Puig Esteve, Yolanda Canet Oliva, Joan Carles Tricas, Josefina Goberna affil: Obstetric and Gynecology Department, Parc Taulí University Hospital, Consorci Corporació Sanitària Parc Taulí, Parc del Taulí, 1, 08208, Sabadell, Barcelona, Spain sug: subj: Anxiety In Pregnancy Expectant Mothers Psychosocial Factors Spouses Psychosocial Factors Childbirth Psychosocial Factors Cesarean Section, Elective Methods Maternal Attitudes Human Adult Spain Quasi-Experimental Studies Prospective Studies Comparative Studies Scales Questionnaires Descriptive Statistics Confidence Intervals Chi Square Test T-Tests Mann-Whitney U Test Data Analysis Software Pregnancy Female Patient Satisfaction Evaluation Adult: 19-44 years Female ab: Background: In Spain, allowing women to be accompanied by their partners during cesarean deliveries is a poorly consolidated practice. Going through this experience alone, not only deprives women from the opportunity of sharing the birth with their partners, but also, forces them to face, on their own, one of the most stressful experiences during pregnancy. Objective: To analyze whether significant differences exist in levels of anxiety of women who receive an elective cesarean delivery, according to whether they are allowed to be accompanied by their partners. Design: Quasi-experimental, longitudinal, prospective study, comparing a group of 31 women receiving elective cesarean deliveries, without the presence of their partners, with a group of 33 women with elective cesarean deliveries who were accompanied by their partners. Anxiety levels were assessed using the STAI-State/Trait scale. Participants were given a questionnaire to assess their level of satisfaction with the care received. Results: Anxiety measured via total scores on the STAI-S scale was significantly lower (p < 0.004) among the women who were accompanied by their partners during the elective cesarean delivery (median = 25), compared to the group who were not (median = 50). The differences were also significant (p < 0.003) considering the impact of accompaniment upon the group with high scores in the STAI-S (> 31) and continue to be significant when using the cut-off point of very high scores on the STAI-S (> 45). Conclusions: Presence of partners during elective cesareans is a key factor for decreasing the anxiety caused by the surgery and for improving the overall experience of cesarean deliveries. Significance: What is already known on this subject? Cesarean deliveries are one of the most stressful life experiences. Allowing women to be accompanied by their partners during cesarean deliveries is a poorly consolidated practice in some countries. Otherwise relevant international institutions recommend allowing an accompanying adult, present with the mother in the operating room during the entire process. What this study adds? Presence of partners during elective cesareans is a key factor for decreasing deliveries' anxiety, improving the overall experience, but it needs a mentality change in the obstetric and surgical team. These results could change the services organization in a more humane delivery, with overall positive impact in the patients' care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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